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;� CITY OF CARMEL, INDIANA VENDOR: 368095
® "; ONE CIVIC SQUARE MICHAEL DRAKE CHECK AMOUNT: $**......35.00*
?� CARMEL, INDIANA 46032 14625 HANDEL DR#216 CHECK NUMBER: 238357
,,,�a�.�` CARMEL IN 46032 CHECK DATE: 10/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4358300 35.00 OTHER FEES & LICENSES
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Prescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/13/14 Police Chaplains certification fee $35.00
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Michael D. Drake ALLOWED 20
IN SUM OF $
14625 Handel Drive#216
Carmel, IN 46074
$35.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-583.00 $35.00
I hereby certify that the attached invoice(s), or
I I
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, October 15, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund